Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

2.1K
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
2.1K
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

522
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
522
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

495
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
495

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Erratum to Author Corrections to: "Canadian Cardiovascular Society 2023 Guidelines on the Fitness to Drive [Canadian Journal of Cardiology, Volume 40, Issue 4 500-523, DOI: 10.1016/j.cjca.2023.09.033]".

The Canadian journal of cardiology·2026
Same author

Advancing Quality in the Evaluation, Surveillance, and Management of Aortic Stenosis: A Report From the AHA Target: AS Registry.

Circulation·2026
Same author

Redo-TAVR (TAV-in-TAV) Best Practices Part 1: Short-in-Short and Short-in-Tall - A Heart and Valve Collaboratory Document.

JACC. Cardiovascular interventions·2026
Same author

Redo-TAVR (TAV-in-TAV) Best Practices Part 2: Tall-in-Short and Tall-in-Tall - A Heart and Valve Collaboratory Document.

JACC. Cardiovascular interventions·2026
Same author

The Cost of Delayed Transcatheter Aortic Valve Replacement.

Structural heart : the journal of the Heart Team·2026
Same author

Superficial parasternal intercostal plane block with ropivacaine versus placebo for opioid exposure after cardiac surgery (EPOCH CardioLink-10): a multicentre, double-blind, randomised trial.

Lancet regional health. Americas·2026

Related Experiment Video

Updated: Apr 30, 2026

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control
05:41

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control

Published on: December 16, 2022

4.0K

Relationship of Distance to PCI Center With In-Hospital Mortality After STEMI: Insights From a Rural Regional STEMI

Raihan Kabir1, Jennifer Liao2, Andres Cordova Sanchez1

  • 1Division of Cardiology, University of Vermont Medical Center, Burlington, Vermont.

Journal of the Society for Cardiovascular Angiography & Interventions
|April 29, 2026
PubMed
Summary

Travel distance to percutaneous coronary intervention (PCI) centers did not impact ST-elevation myocardial infarction (STEMI) mortality in Northern New England. Regional STEMI referral networks ensure consistent outcomes regardless of patient travel distance.

Keywords:
ST-elevation myocardial infarctionfibrinolysispharmacoinvasive percutaneous coronary interventionprimary percutaneous coronary interventionsystems of care

More Related Videos

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

2.8K
A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

23.8K

Related Experiment Videos

Last Updated: Apr 30, 2026

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control
05:41

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control

Published on: December 16, 2022

4.0K
Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

2.8K
A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

23.8K

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Patients with ST-elevation myocardial infarction (STEMI) presenting to hospitals without primary percutaneous coronary intervention (PPCI) capabilities face treatment decisions.
  • Treatment options include transfer for PPCI or fibrinolytic therapy, influenced by the time to treatment.
  • The impact of travel distance to PCI centers on STEMI outcomes in rural settings is a critical consideration.

Purpose of the Study:

  • To investigate the association between residential distance to PCI centers and in-hospital mortality among STEMI patients in a rural healthcare system.
  • To evaluate if travel distance influences treatment strategies and outcomes in STEMI care.

Main Methods:

  • Retrospective analysis of 6225 STEMI patients from the Northern New England Cardiovascular Disease Study Group registry (2018-2023).
  • Calculation of residential travel distance to PCI centers using ZIP Code centroids, categorized into quartiles.
  • Assessment of in-hospital mortality using multivariable logistic regression, considering treatment strategies: initial PCI, transfer for PPCI, or pharmacoinvasive PCI.

Main Results:

  • The median residential distance to a PCI center was 38.2 miles.
  • Patients were treated via initial PCI (44.4%), interhospital transfer for PPCI (23.8%), or pharmacoinvasive PCI (31.9%), with increasing median travel distances for transferred groups.
  • No significant association was found between residential distance to PCI hospitals and adjusted in-hospital mortality for STEMI patients across all treatment groups.

Conclusions:

  • In the Northern New England region, established STEMI referral networks mitigate the impact of travel distance on patient mortality.
  • Despite substantial travel distances for some patients, outcomes for STEMI were not adversely affected by proximity to PCI centers.
  • These findings support the effectiveness of current regional STEMI care models in ensuring equitable outcomes.